Managing Managed Care

Our inequitable, inefficient, oftentimes uncaring health care "system," revealed. -- Jeffrey G. Kaplan, M.D., M.S.

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The Business Opportunity of Medicine

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The practice is getting squeezed; Want ideas? First, don't give up on the idea that small practices are out.  Consider them, if for no other reason then they are often better then large pracices that are overly driven to see large volumes of patients. IOW, solo and small practices are still playing an important role, although they may require TLC to thrive.

The Managed Care-Pharma Interface-Part III: the Pitfalls and the Promise

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Medication Adherence and the Pharmaceutical & Med. Manufacturing (PMM) industry--an opportunity for synergism with health care. "At the same time that unprecedented progress in pharmaceutical research and development is producing new and better medicines for the treatment and prevention of disease – people are asking tough and legitimate questions about the role and responsibility of the pharmaceutical industry in expanding access to the results of this research."

Patient-Centered Caring

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Achieving patient-centered care is difficult, yet essential; since paternalism is out, the patient has a greater role to play. The editorial, "Patient-Centered Care; What Is the Best Measuring Stick?" by Drs.

Race to Health Info Tech--Tortoise or Hare?

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"Providers Believe Healthcare Reform will Increase Their Costs."  Here follow a few of its responses: 61% believe "electronic health records (EHRs) could have a positive impact on their businesses" 82% cited their biggest challenge in implementing HlT is cost. 17% of providers are or are planning to participate in a Health Information Exchange (HIE) over the next 12 months. 

Incentives That Can Make or Break Reform

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Our health care system is particularly inefficient and, for some, inaccessible.  As for the quality of care, by any measure it is variable at best.  Why is it so hard to fix?  Why do we pale in relation to most of the industrialized world?

Adequate Coverage?

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Wal-Mart Stores, Inc., the world's largest retailer, is in favor of President Obama's initiative—to mandate that large employers offer health insurance to workers and their families. But, isn't this is the same company who is accused of "mistreating employees and not offering adequate healthcare coverage"? Why would they endorse reform? Follow the $$$$

Saying No, Well

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Clearly, not fulfilling patients' requests diminishes their satisfaction, but patient-centered communication can enhance that. So what is one to do? Being adept at saying "no" is an art; it should preserve, if not amplify a practitioners' interest in and concern for their patient. This article describes ways of negotiating with patients about specific requests for diagnostic testing, treatment, on-going or changing care.